Individual provider Active NPI

Chad Martin Fluth, OD

  • Optometrist
  • State College, PA
National Provider Identifier
1730972522
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004303 Issued in PA
Practice address
428 Windmere Dr Ste 100
State College, PA 16801-7644
Phone
(814) 234-2015
NPI assigned
May 26, 2025
Last updated
Oct 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004303 PA Primary

Addresses

Primary practice location

428 Windmere Dr Ste 100
State College, PA 16801-7644

Mailing address

428 Windmere Dr Ste 100
State College, PA 16801-7644
Phone (814) 234-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905001983 PA Practitioner - Optometry 8426550773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nittany Eye Associates LTDGroup PAC ID 4688740855, 11 clinicians

Practice addresses (Care Compare)

428 Windmere Dr
Suite 100
State College, PA 16801-7644
Phone (814) 234-2015

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Nov 17, 2025 Accepting new patients
Nittany Eye Associates LTD Optometrist CurrentSince Sep 8, 2025 Accepting new patients
Visionworks, Inc CurrentSince Nov 17, 2025 Accepting new patients

Locations

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

947 Bellefonte Ave
Lock Haven, PA 17745
Phone (570) 748-7751

132 Abigail Ln
Port Matilda, PA 16870
Phone (814) 272-5011

428 Windmere Dr
Ste 100
State College, PA 16801
Phone (814) 234-2015

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1730972522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 WINDMERE DR STE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017644",
            "telephone_number": "814-234-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 WINDMERE DR STE 100",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017644",
            "telephone_number": "814-234-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUTH",
        "first_name": "CHAD",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-26",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.